# STOXEN PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801873476
- **Authorized official:** CORLISS STOXEN BS PHARMACY (PRESIDENT)
- **Authorized official phone:** (715) 361-4770

## Contact information

- **Practice address:** 2251 N SHORE DR, RHINELANDER, WI 54501-6710
- **Practice address phone:** (715) 361-4770
- **Practice address fax:** (715) 369-3650
- **Mailing address:** 333 LOWVILLE RD, RIO, WI 53960-9437
- **Mailing address phone:** (920) 992-6800
- **Mailing address fax:** (920) 992-6801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 8397-42 | WI | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/27/2005
- **Last updated:** 04/21/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2113028 | PK | — |
| 05 | — | 33116800 | — | WI |